2015 ANNUAL DATA REPORT
VOLUME 2: END-STAGE RENAL DISEASE
Chapter 5: Hospitalization
Figure 5.1 Adjusted hospitalization rates for ESRD patients,
by treatment modality, 2005-2013
Data Source: Reference tables: G.1, G.3, G.4, G.5, G.6, G.8, G.9, G.10, and special analyses, USRDS ESRD Database. Period
prevalent ESRD patients; adjusted for age, sex, race, & primary diagnosis; ref: ESRD patients, 2011. Abbreviations: ESRD,
end-stage renal disease.
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Figure 5.2 Adjusted all-cause & cause-specific hospitalization rates for ESRD patients,
by treatment modality, 2005-2013
(a) All ESRD
Data Source: Reference tables: G.1, G.3, G.4, G.5, and special analyses, USRDS ESRD Database. Period prevalent ESRD
patients; adjusted for age, sex, race, & primary diagnosis; ref: ESRD patients, 2011. Abbreviations: ESRD, end-stage renal
disease.
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Figure 5.2 Adjusted all-cause & cause-specific hospitalization rates for ESRD patients,
by treatment modality, 2005-2013
(b) Hemodialysis
Data Source: Reference tables: G.1, G.3, G.4, G.5, and special analyses, USRDS ESRD Database. Period prevalent ESRD
patients; adjusted for age, sex, race, & primary diagnosis; ref: ESRD patients, 2011. Abbreviations: ESRD, end-stage renal
disease.
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Figure 5.2 Adjusted all-cause & cause-specific hospitalization rates for ESRD patients,
by treatment modality, 2005-2013
(c) Peritoneal Dialysis
Data Source: Reference tables: G.1, G.3, G.4, G.5, and special analyses, USRDS ESRD Database. Period prevalent ESRD
patients; adjusted for age, sex, race, & primary diagnosis; ref: ESRD patients, 2011. Abbreviations: ESRD, end-stage renal
disease.
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Figure 5.2 Adjusted all-cause & cause-specific hospitalization rates for ESRD patients,
by treatment modality, 2005-2013
(d) Transplant
Data Source: Reference tables: G.1, G.3, G.4, G.5, and special analyses, USRDS ESRD Database. Period prevalent ESRD
patients; adjusted for age, sex, race, & primary diagnosis; ref: ESRD patients, 2011. Abbreviations: ESRD, end-stage renal
disease.
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Table 5.1 Rates of all-cause & cause-specific hospitalization per patient year for
adult hemodialysis patients, 2004-2013
All
Cardiovascular
Unadjusted Adjusted
2004-2005
2006-2007
2008-2009
2010-2011
2012-2013
2012-2013
Age
22-44
45-64
65-74
75+
Sex
Male
Female
Race
White
Black/African American
Other race
Ethnicity
Hispanic
Cause of Renal Failure
Diabetes
Hypertension
Glomerulonephritis
Other
Infection (any)
Vascular access
infection
Unadjusted
Adjusted
Unadjusted
Adjusted
Unadjusted
Adjusted
2.12
2.13
0.63
0.63
0.48
0.48
0.14
0.14
2.08
2.08
0.60
0.60
0.49
0.49
0.13
0.13
2.02
2.02
0.58
0.58
0.49
0.49
0.12
0.12
1.97
1.97
0.52
0.52
0.48
0.48
0.10
0.10
1.81
1.81
0.45
0.45
0.45
0.45
0.05
0.05
1.79
1.96
0.36
0.37
0.42
0.46
0.07
0.08
1.76
1.76
0.42
0.42
0.43
0.43
0.05
0.06
1.86
1.82
0.49
0.48
0.46
0.45
0.05
0.05
1.88
1.87
0.51
0.50
0.50
0.49
0.04
0.05
1.68
1.68
0.42
0.43
0.42
0.42
0.05
0.05
1.99
1.98
0.48
0.48
0.49
0.49
0.06
0.06
1.86
1.85
0.46
0.45
0.49
0.48
0.05
0.05
1.80
1.83
0.45
0.46
0.41
0.43
0.06
0.06
1.43
1.40
0.35
0.34
0.39
0.38
0.04
0.04
1.70
1.70
0.41
0.41
0.44
0.44
0.05
0.05
2.00
2.03
0.49
0.49
0.50
0.50
0.05
0.06
1.68
1.68
0.46
0.46
0.40
0.40
0.05
0.05
1.55
1.56
0.36
0.38
0.39
0.39
0.05
0.05
1.69
1.72
0.37
0.38
0.46
0.46
0.05
0.05
Data Source: Reference Tables G.3, G.13, and special analyses, USRDS ESRD Database. Period prevalent hemodialysis
patients aged 22 & older; adjusted for age, sex, race, ethnicity, & primary cause of kidney failure. Rates by one factor
adjusted for the remaining three; reference group, hemodialysis patients, 2011. See Vol. 2, ESRD Analytical Methods for
principal ICD-9-CM diagnosis codes included in each cause of hospitalization category.
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Figure 5.3 Adjusted hospital days for ESRD patients, by treatment modality, 2005-2013
Data Source: Reference Tables G.1, G.3, G.4, G.5, G.6, G.8, G.9, G.10, and special analyses, USRDS ESRD Database. Period
prevalent ESRD patients; adjusted for age, sex, race, & primary cause of kidney failure. Reference group: ESRD patients,
2011. Abbreviation: ESRD, end-stage renal disease.
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Figure 5.4 Adjusted hospital days for infection & cardiovascular causes, for ESRD patients
by their treatment modality, 2005-2013
(a) Infection
Data Source: Special analyses, USRDS ESRD Database. Period prevalent ESRD patients, adjusted for age, sex, race, &
primary cause of kidney failure; reference group: ESRD patients, 2011. Abbreviation: ESRD, end-stage renal disease.
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Figure 5.4 Adjusted hospital days for infection & cardiovascular causes, for ESRD patients
by their treatment modality, 2005-2013
(b) Cardiovascular
Data Source: Special analyses, USRDS ESRD Database. Period prevalent ESRD patients, adjusted for age, sex, race, &
primary cause of kidney failure; reference group: ESRD patients, 2011. Abbreviation: ESRD, end-stage renal disease.
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Figure 5.5 Proportion of patients aged 66 & older discharged alive from the hospital
who either were rehospitalized or died within 30 days of discharge,
by kidney disease status, 2013
Data Source: Special analyses, USRDS ESRD Database and Medicare 5 percent sample. January 1, 2013 point prevalent
Medicare patients aged 66 & older on December 31, 2012. For general Medicare: January 1, 2013 point prevalent,
Medicare patients aged 66 & older, discharged alive from an all-cause index hospitalization between January 1, 2013, and
December 1, 2013, unadjusted. CKD determined using claims for 2012. Abbreviations: CKD, chronic kidney disease; ESRD,
end-stage renal disease; rehosp, rehospitalization.
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Figure 5.6 Proportion of hemodialysis patients discharged alive from the hospital
who either were rehospitalized or died within 30 days of discharge,
by demographic characteristics, 2013
(a) By age
Data Source: Special analyses, USRDS ESRD Database. Period prevalent hemodialysis patients, all ages, 2013; unadjusted.
Includes live hospital discharges from January 1 to December 1, 2013. Cause-specific hospitalizations are defined by
principal ICD-9-CM codes. See Vol. 2, ESRD Analytical Methods for principal ICD-9-CM diagnosis codes included in each
cause of hospitalization category. Abbreviations: Af Am, African American; ESRD, end-stage renal disease; Nat Am, Native
American; Other, other or unidentified race; rehosp, rehospitalization.
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Figure 5.6 Proportion of hemodialysis patients discharged alive from the hospital
who either were rehospitalized or died within 30 days of discharge,
by demographic characteristics, 2013
(b) By race/ethnicity
Data Source: Special analyses, USRDS ESRD Database. Period prevalent hemodialysis patients, all ages, 2013; unadjusted.
Includes live hospital discharges from January 1 to December 1, 2013. Cause-specific hospitalizations are defined by
principal ICD-9-CM codes. See Vol. 2, ESRD Analytical Methods for principal ICD-9-CM diagnosis codes included in each
cause of hospitalization category. Abbreviations: Af Am, African American; ESRD, end-stage renal disease; Nat Am, Native
American; Other, other or unidentified race; rehosp, rehospitalization.
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Figure 5.7 Proportion of hemodialysis patients discharged alive that either were
rehospitalized or died within 30 days of discharge,
by cause of index hospitalization, 2013
Data Source: Special analyses, USRDS ESRD Database. Period prevalent hemodialysis patients, all ages, 2013, unadjusted.
Includes live hospital discharges from January 1 to December 1, 2013. Cause-specific hospitalizations are defined by
principal ICD-9-CM codes. See Vol. 2, ESRD Analytical Methods for principal ICD-9-CM diagnosis codes included in each
cause of hospitalization category. Abbreviations: CVD, cardiovascular disease; ESRD, end-stage renal disease; rehosp,
rehospitalization; VA, vascular access.
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Figure 5.8 Proportion of hemodialysis patients with cause-specific rehospitalizations
within 30 days of discharge, by cause of index hospitalization, 2013
Data Source: Special analyses, USRDS ESRD Database. Period prevalent hemodialysis patients, all ages, 2013, unadjusted.
Includes live hospital discharges from January 1 to December 1, 2013. Cause-specific hospitalizations are defined by
principal ICD-9-CM codes. See Vol. 2, ESRD Analytical Methods for principal ICD-9-CM diagnosis codes included in each
cause of hospitalization category. Abbreviations: CVD, cardiovascular disease; ESRD, end-stage renal disease; rehosp,
rehospitalization; VA, vascular access.
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Figure 5.9 Proportion of hemodialysis patients discharged alive that either were
rehospitalized or died within 30 days of discharge for cardiovascular index hospitalization,
by age, 2013
Data Source: Special analyses, USRDS ESRD Database. Period prevalent hemodialysis patients, all ages, 2013, unadjusted.
Patients less than age 22 are not represented as a group due to insufficient sample size. Includes live hospital discharges
from January 1 to December 1, 2013. Cause-specific hospitalizations are defined by principal ICD-9-CM codes. See Vol. 2,
ESRD Analytical Methods for principal ICD-9-CM diagnosis codes included in each cause of hospitalization category.
Abbreviations: CVD, cardiovascular disease; ESRD, end-stage renal disease; rehosp, rehospitalization.
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Figure 5.10 Proportion of hemodialysis patients discharged alive that either were
rehospitalized or died within 30 days of discharge for cardiovascular index hospitalization,
by cause-specific cardiovascular index hospitalization, 2013
Data Source: Special analyses, USRDS ESRD Database. Period prevalent hemodialysis patients, all ages, 2013, unadjusted.
Includes live hospital discharges from January 1 to December 1, 2013. Cause-specific hospitalizations are defined by
principal ICD-9-CM codes. See Vol. 2, ESRD Analytical Methods for principal ICD-9-CM diagnosis codes included in each
cause of hospitalization category. Abbreviations: AMI, acute myocardial infarction; CHF, congestive heart failure; ESRD,
end-stage renal disease; rehosp, rehospitalization.
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